This study was undertaken to evaluate the accuracy of low field streng
th body coil MRI in the staging of clinically localized prostate cance
r, Fifty-three patients with prostate cancer were examined on a 0.2 T
body coil system before undergoing radical prostatectomy, Of the 20 ca
ses with unconfined stage T3 disease on histology, 12 were correctly s
taged, whilst three cases were overstaged by MRI. (Accuracy 79.2%, sen
sitivity 60%, and specificity 90.9%.) The accuracy, sensitivity and sp
ecificity for the detection of capsular penetration were 77.3%, 55% an
d 90.9%, respectively, whilst those for seminal vesical invasion were
94.3%, 83.3% and 95.7%, respectively, It is concluded that a high leve
l of staging accuracy, comparable to that obtained in some published s
tudies using high field strength endorectal coil MRI, can be obtained
using 0.2 T body coil MRI.